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3819 Laurel Ct4101 City of Btu 3830 Pilot Knob Road Eagan MN 56122 Phone: (651) 675-5875 Fax: (651) 6754694 Use BLUE or BLACK Ink For Office Use Pend rk 0 p(10 Permit Fee: Date Received: Staff: 2013 RESIDENTIAL BUILDING PERMIT APPLICATION Date:) r site Address: T S'/ 9 L79 Li 2 L G7-. _ unit*: Retiideltt/ Qwner TYPeWAYork, Contractor Name: CA, 4e) %%l44 A 6 £ /K £ ..3 T.2 ., c. Phone: 763 - r5-1- 9 h 7 Address 1 City / Zip: 8S0 E Corry Q /9 v. A , ,2! A 6 06 6 14441 r /nA) SS'qz 7 Applicant is: Owner ,Contractor Description of work: 2 Pi 4 C L m u ri P L LA), „> p u L'••• Construction Cost, Multi -Family Building: (Yes, 1 No Company: L i / 0 2 Midi/4-r _ Colt Contact b4,/, rS d3,lz-2i S Address: 6/os- L l00�' J% State: /VAS Zip: 5-5.-.1// 9 City: /Yi PL Phone: 6oi2` 840/-!024/3 License #: 4• L 2 Y/ / 3 / Lead Certificate #: If the project Is exempt from lead certification, please explain why: (see Page 3 for additional information) ��aLoS- Pos'T' 15.77 COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BJLDING In the last 12 months, has the City of Eagan Issued a permit for a similar plan based on a master plan? Yes __Vo If yes, date and address of master plan: Licensed Plumber: Mechanical Contractor; Sewer & Water Contractor; NOTE; Rem owl the Informittoie Phone: Phone: Phone: 1 CALL BEFORE 'YOU DIG. Can Gopher State One Call at (651) 454.0002 far protection against • ..,.. it m bthre you intend to dig to receive locates of underground utiles. w,aontteoneralLc� under utility damage. Cell 48 hours hereby acknowledge that this informshon is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan; that 1 understand this is not a parmlt, but only an applioadon fora permit. and work ie not to start without a permit that: the work will be In accoriance with the approved plan In the cage of work which requires a review ano approval of piens. Exterior work authorized by a building permit rued In accordance with the Minnesota Stop Suildln�Code must be completed wlthln 150 days of permit Iasua x i� 4" Appilcanre Printed Name 0T/C0 39 d 1NI W 1X3 I3i3 Applicant's Signature Page 1 of 3 L9Z9T98ZT9 90 :VT t'TOZ/TT/b0 ; Remarks Addition Sri" ???ti-1an 2nd Loc 10 eik 1 Parcel #10 14991 100 Ol Owner?-'..-:??illEt' (I'.,( Street- -W.-?. Laurel COllTt State Eagan, MN 55122 Improvement Date Amount Annual Years Payment Receipt Date I STREETSURF. &(00 1982 600 76 120.15 5 604. 6 COOT348 -2 STFiEET RESTOR. GRADING 171 1975 114.43 11.44 10 114.43 A009870 1 27 81 Gradin2 "5 9 1982 123.04 24.61 5 123.04 C00 48 10-21-81 SANSEW TRUNK At3 1968 47.91 1.60 30 47.9 A009870 1 27 81 SEWERLATERAL - 1968 52.47 2.62 20 52.47 A009870 1 27 81 WATERMAIN * WATERLATERAL 1968 ZO WATER AREA 1977 95,81 6.39 15 95.81 A009870 1 27 81 ** X 1982 1431.44 286.29 5 1431.44 C00 48 10-21-81 STORMSEW TRK 1982 402.73 80.55 $ 402. 3 COO 3tiS ZO-21-81 STORM SEW LAT CURB & GUTTER SIDEWALK STREET ti64iT' 1009 1986 153.70 15.37 10 Road Unit 185.00 23792 3-18-81 WATER CONN. 335.00 23792 3-18-81 BUILDING PER. SAC PARK Z CITY OF EAGAN. Remarks Addition Briar .Hill Addition Znd Lot 9 Bik 1 Parcel #10 14991 090 01 owner 'In, Street 3?219 Laurel Court State Eagan, hffV 55122 Improvement Date Amount Annual Years Payment Receipt Date STREETSURF. ((D 1982 600.76 120.15 5 480.61 A010803 12-15-81 STREET RESTOR. GRADING 171 1975 114.43 11.44 10 114.43 A009870 1J27/81 Gradin 5?1 1982 123.04 24.61 5 98,44 A010803 12-15-81 SANSEW TRUNK 1968 47.91 1.60 30 47.91 A009870 1/27/81 * SEWERLATERAL - 5 1968 52.47 2.62 20 52.47 A009870 1 27 81 WATERMAIN * WATER LATERAL 1968 ZO WATER AREA 1977 95.81 6.39 15 95.81 A009870 1 27 81 ** S W Lat Stm L 1982 1431.44 286.29 5 1145.16 A010803 12-15-81 STORMSEW TRK bs 1982 402.73 80.55 5 322.19 A010803 12-15-81 ' STORM SEW LAT CURB & GUTTER SIDEWALK STREET 13GFK' 1009 1986 153.70 15.37 10 Road Unit 18 WATER CONN. HUI LDING PEFi. SAC PARK 250.00 20263 CITY OF EAGAN Remarks - Addition g?i a-£ Hi I I Additi an 2nd Lot 1.2 Bik I Parcel #10 14991 120 01 OwnerL(Irf!'- ?E7i. `A;Street-387.:i; 101117"a1 Conrt Stace Eagan_, MN 55122 Improvement Date Amoun[ Annual Years Payment Receipt Date STREETSURF. 06Qo 1982 600.76 120.15 S 600.76 C007245 9-14-81 STREET RESTOR. GRADING n7l 1975 11 . 11.4 0 114.43 A009870 1 ' Grading r ,q 1982 123, - - I SANSEW TRUNK ? 1968 47.91 1.60 30 47.91 A009870 * SEWER LATERAL - 968 $2.47 2.62 20 $2.47 WATERMAIN * WATER LATERAL 1968 ZO WATER AREA 1977 95.81 6.39 15 95.81 A009 ** S/W Lat Stm L 1982 1431.44 286.29 5 1431.44 C007246 -14-81 STORMSEW TRK ?- 482 402.73 80.55 5 402.73 C007246 9-14-81 ? STORM SEW LAT CURB & GUTTER SIDEWALK STREET 4.i9",F- 1009 1986 153.70 / Road Unit 185.00 23792 3-18-81 WATER CONN. 335.00 23792 3-18-81 BUILDING PER. 6532 SAC PARK Z$Q.Qo 2026-1 914180 CITY OF EAGAN Remarks AdditionRria7C'•Hill Additinn Znd Lot 11 Blk 1 Parcel #10 14997 176 b1 owner-Lqvj U. ` f? ? J'a'- sc,eet--,3823 Laurel Court State EaQan, hW 55122 . Improvement Date Amount Annual Years Payment Receipt Date . STREETSURF. ?(yC 1982 600.76 120.15 5 600.76 C 0 247 -- STREET RESTOR. GRADING 1975 114.43 11.44 10 114.43 A009870 1 27 81 Gradin 1982 1 . C007247 -- SANSEW TRUNK 1968 47.91 1.60 30 47.91 A009870 1/27/81 I* SEWERLATERAL - 1968 52.47 2.62 20 52.47 A009870 1 27 81 WATERMAIN * WATERLATERAL ja7 1968 ZO WATER AREA 1977 95.81 6.39 15 95.81 A009870 1/27 81 ** S/,W Lat 5tm &}j 1982 1431.44 286.29 5 1431,4 C007247 9-1 - STORMSEW TRK 1982 402.73 80.55 5 402.73 C00 7 9-14-81 SEW LAT CURB & GUTTER SIDEWALK STREET4;1 1009 1986 153.70 15.37 l0 Road Unit 185.00 23792 3-18-81 ' WATER CONN. 335.00 23792 3-18-81 BUILDING PEfi. SAC PAFK • 20263 8/4180 •- ' CITY OF EAGAN 3795 Pilot Knob Road Eagen, MN 55122 Nc- 6533 PHONE: 454-8100 BUILDING PERMIIT Receipt .# To be aeed For Est. Value Date , 19 Site Addreu Erect ? Occuponcy Lot Block Sec/Sub. Alter ? Zoning Parcel # W Name ; Address b Ci Phone ?o Name ? ?? Address Ci Phone ? UNome _? Address 1 hereby acknowledge thot I have read this opplication and state that the information is correct and agree to mmply with nll applicable Stote of Minnesota Stotutes and City of Eagan Ordinonces. Repair ? Fire Zone Enlarge ? Type of Const. Move ? #k Stories Demolish p Front ft. Grade ? Depth ft. Aoororah Fees Water & Sew. Police Fire Eng. Planner Council Bldg. Off. APC Permit SurcFrorge Plan check SAC Water Conn. Water Meter Road Unit Total Signature of Permittee I A Building Permit is issued to: on the eupress condition that all work shail be done in occordance with all opplicable State of Minnesoto Statutes and City of Eagan Ordinances. Building Official PermM # DaN Imed PwniMN Plumbing Mechanicul J_7' /,x -,Op/ ? INSPECTIONS DATE INSP• Rough-In Finol FOOtiflg5 Date Insp. Date nsp. Foundation F ' s. , Plumbing Mechanicol Final Remarks: ?? 7-.3? --or/ CITY OF EAGAN • 3795 Pilof Knob Road No. Eegan, Minnesota 55122 . Phona: 454.8100 _ PERMIT Date: Site /lddreu: ' Lot Block Sub/Sec. Name ? Address j ? Ciry Phone: Name ' r Address , ? . ? City Phone: This Permit is issued on the express condition thot all work sholl be Minnesoto Statutes ond City of Eo gon Ordinonces. INSPECTOR NOTIFICATION REQUIRED BY LAW FOR ALL INSPECTIONS Receipt No.: Single I Residential Multi Res., Comm./Ind. I New/Alter. / Repoir Cost of Installotion Permit Fee Surcharge ' Tota I done in accordance with ull applimble State of Recaipt MECHANICAL PERMIT CITY OF EAGAN Fill in numbered spaces Type or Print legibly 1. Date 2. Installation Cost 3. Job Address Lot Blk. Trect "7.gTh1 2 4. Owner cllefson F?ldr^. 5. Contractor Vredri c;;son I[eat7 i'?' Phone 6. Address '??(1 RaaL nI R,i ;ri, 7. City Earan State 2ip I 8. Building Type: Residential In Commercial ? Institutional O I 9. Work Description: New CY Add ? Aiter 0 Repair ? 10. Describe Fuel Type 1 11 No. ment BTU - M. Ea. Forced Air No. Eauipment CFM Mfg. _ qir Handling: Boilers Mfg. - Mech. Exhaust Unit Heater Mfg. _ Air Cond. Other Mfg, Gas, Piping Outiets I 12. I hereby certify that the above information is true and correct, and I agree to , comply with all ordinances and codes governing this type of work. . Signed: for Rough F Inal • Inspections: Date Insp. Date Insp. This is your permit when numbered and approved. Approved CITY OF EAGAN 464-8100 Parmit No. Fee S/C Tot. C?rrttftratt uf Orrupanry Citp of (Eagan Erptt-inpn2 of BuiCbircg Jn,spertim Tbis Ccrtificate irsued pursuant to the requiremenu of Section 306 of the Unifornz Building Codc urti fying that at tbe time of itcuanu this rtrutturt war in tompliance wrth tbe various ordinancca o f tbe City rrgulating building connruction or ust. For the f ollouzng: 1 of Q PLEX 6533 U, Chaifiutim n 'r Bidg. Pemtil No. ??Pa?YTyPe =L3 PComtmction Y PirtZon ? ZoninBD"utric ?m ?M?6 qelleeon B1dT8. Aaa? 1316 Holyoke ?A., Apple BuldingAdd? 3825 LeuPel Ct. LoW.tY Lot 11.B1oCk 1,BriaT211ll T-}`R,`?- n.m: JulY 301, 1981 rM7 IM .? COnS??CVOVS ?LI.CF 000[5 1. Receipt??' PLUMBINGPERMIT PermitNo.(?? • CITY OF EAGAN Fee -' l Fill in numbered speces S/C Type or Print legibly Tot. .- 1. Date . F J 2. Installation Cost ? ? '?o`7? i7 Blk T L 3. Job Addrece - . ract o ?- `' - 4, Owner 1,F:")? :.2 US?fr- 5. Contracto r?,?j? Phone r 6. Address ?Ci?? ,L''??j ? f /r ?` 7. City_--?r? State -7 8. Building Type: Residential-?0 Commercial ? Institutional ? 9. Work Description: New 0 Add ? Alter ? Repair ? 10. Describe 11, No, Fixtures Water Closet No. Fixtures Cesspool/Drainfield Bath tubs Septic Tank _ Lavatory ? -' Softner Shower Wel I Kitchen Sink Urinal/Bidet Other Laundry Tray Floor Drains Drinking Ftn. Slop Sink Gas Piping Outlets 12. I hereby certify that the above information is true and correct, and I agree to comply with all ordinances and codes governing this type of work. Signed : Rough Inspections: Date Insp. for F inel Date Insp. This is your permit when numbered and approved. Approved CITY OP EAGAN 454-8100 ' . CITY OF EAGAN • • • 3795 Pilot Knob Roed Eapan, MN 55122 N? 6 5 3 2 PHONE: 454-8100 BUILDING PERMIT Receipt # Te bs wsd for Est. Value Dote , 19 Site Address ?- ??• Erect ? Occupancy Lot Block $ec/Sub, Alter ? Zoning Parcel # Repoir ? Fire Zone Enlorge ? Type of Const. W Nome _.. . Move ? # Stories I ., ?. . ; Address Demolish ? Pront -- - ft. o Ci Phone Grade ? Depth ft. ? ApProvals Feea Z0 U?V ? Name _ Address Name _ Address I hereby acknowledge that I have read this application and state that the information is correct and agree ta comply with all opplicable State of Minnesota Statutes ond City of Eugan Ordinances. Permit ' Surcharge Plan check SAC WaterConn. Water Meter Road Unit Total Signoture of Permittee I i - - , A Building Permit is issued to: on the express condition that all work sholl be done in accordonce with all applicoble State of Minnesoto Statutes and City of Eagun Ordinances. Building Official Assessment - Woter & Sew. Police Fire Eng. Planner _ Council _ Bldg. Off. _ APC PMnk # DeM Iwsed PwsltMa Plumbing a_3 / o 3- a g - ?(, Mechonicol ?, ? INSPECTIONS DATE INSP. Rough-In Finol Footings Date Inso. Date Insp. Foundation 4__9 4 y Plumbing Frame/ins. _ Mechanicol ? Final ?! sr Remorks: r? No. • arr oF Er?G,e,N 3795 Pilot Knob Roed Eagan, Minnesota 55122 Phone: 454-8100 PERMIT INSPECTOR NOTIFICATION REQUIRED BY LAW FOR ALL INSPECTIONS Date: Receipt No.: _ Single " "r- • . Site Address: Residential -``°- Lot Block ` Sub/Sec. =Y.j.ar dll Multi Res., Comm./Ind. Nome /Alt r / Re ai r N . ew e p Address i f In ll C t t ti ? os o s a a on City t`? T'T'jPhone: Permit Fee Name Surcharge . Address e 0 City ' Phone: Total This Permit is issued on the express condition that oll work sholl be done in otcordante with oll applicable Stote of Minnesota Statutes and City of Eagon Ordinances. Building Official . ; No. ' f99 Date: t cirY oF E,?c,AN 3795 Pilot Knob Read Eayen, Mieneseta 55122 INSPECTOR NOTIFICATION Phone: 454•8100 R EQU I R ED BY LAW PERMIT 3RTI Taimc+l ('t FOR ALL INSPECTIONS Receipt No.: Single Site Address: ? Residential " ,i.li i^.l I Lot Block Sub/Sx. Multi Res. Comm./Ind , . "bllefson Ncme New/Alter. / Repoi r A ; ddress Cost of Installation City Phone: P i F erm t ee Name S h ` urt arge g - Address ? City Phone: T t l o a This Permit is issued on rhe express condition thot all work sholl be done in accordonce with all opplicable Stote of Minnesoto Stotutes and City of Eagan Ordinances. Building Official QTnttfiratP nf (Orrupttnry Citp of eagan lBPpFIl fritPltf IIf BUtlbtlt3 3nsprrtiun Tbit Catificate irsued Purruant to tbe requirement.c of Section 306 of the Uniform Building Code certi f ying that at the time o f itsuarue this structure wur in compliance with the variour ordinance.r of the City regulating building conttruction or use. For the f ollowing: U,?chalfimeou i nf t,Pl.ex Bldg.Perndt .,a. 6532 Occupency Type 3Type CoosWCtion?V Fire Zone 3- Zoning Dirtrict R3 owwoeBuua;n8 Tollefson BLlders naary.13816 Rolvoke La., Apple Nu: June 30s 1981 '06T IN A CDNSI??CUOVS ?LAC[ mGOES nB? . (Etrtiftrtttt vf (Orrupttnry Citp of eagan IOrpartmrnt rrf Nuilbing 3niiperfimt Tbit Ctrtifitatc iuued pursuant to tbc Tequiremtnu of Section 306 of tbe Uniform Building Code certifying thaa at thc time of istHance this rtructure wa.c in cornpliance with tbe variox.r ordinancet o f the City rcgulaang building construction or use. For the f odloxuing: uxC,am„"tim 1 of 4 PLEX Bfide.Peraut No. 6531 OcaupancyType fi3 TypeCoesinxtion V FircZn > 2oningDistrictR3 o.,ar of euDd;ne ^t:{ldersn,d.13816 HolYOke Ls., Apple op Da1e:_Au6 ]fi . 14, 1981 -.?.?.?. KNIT IN A CONf1ICVOV9 ?V.CE .8, ,' _ • • CITY OF EAGAN , 3795 Pilot Knob Raad Eagon, MN 55722 • PHONE: 454-8100 BUILDING PERMIT To be asad for Est. Value Site Address Lot Block Sec/Sub. ' - Parcel # ()llef:x?. W Name _ z 7i{;1? ; Address " ? .... I 7a 11 w Name _ 0 ?? Addreu ? rt«., Name _ Address N4 6531 ::r -"'/' 1 Ered p Occuponcy Alter ? Zoning Repoir ? Fire Zone Enlcrge ? Type of Const. Move ? # Stories Demolish ? Front ft. Grade ? Depth fr. Approvols Fees Water & Sew. Polite Fire Eng. Planner _ Council _ Permit Surcharge Plon check SAC Water Conn. Water Meter Road Unit I hereby acknowledge that I have read this application and stnte that Bldg. Off. the information is corcect ond agree to comply with all opplicable AP? Total ` Stote of Minnesota Statutes and City of Eagan Ordinances. Signature of Permittea A Building Permit is issued to: on the express condition that all work shall be done in accordance with all applimble State ot Minnesota Stotutes and City of Eagan Ordinances. Building Official Receipt # Ponslt # DaM lawd PmakNe Plumbing Mechanicol 232 ,? 3-2 y/ ? ?:?--?" ? c.-K. C.-' / INSPECTIONS DATE INSP. Rough-In finol Footings Date Insp. Date Insp. Foundotion 4-7- gy _ Plumbing r ins. - Mechanical ? mal I Remarks: No. IC)9 CITY CF EAGAN 3795 Wlot Knob Read Eagan, Minnesofa 55122 Phone: 454•8100 PERMIT Date: Site Address: ` Lot Block Sub/Sec. INSPECTOR NOTIFICATION REQUIRED BY LAW FOR ALL INSPECTIONS Receipt No.: Single I Residentio{ Multi Res., Comm./Ind. Nnme '-f?OZt New/Alter./Repair. ; Address Cost of Installation O City • _?-' ? ` Phone: Permit fee ` Nome ?C`' Surctwrge ? g Address ?- - , - . e 0 V City Phone: Totol This Permir is issued on the express condition that all work sholl be done in accordance with all applicable State of Minnesota Stotutes and City ot Eagan Ordinances. Building Official No. CITY OF EAGAN 3795 Pilot Knob Road Eegan, Minnesofa 55122 Phone: 454-8100 PERMIT Date: Site Address; 2rSl Lot BI«k Sub/Sec. i . -3. INSPECTOR NOTIFICATION REQUIRED BY LAW FOR ALL INSPECTIONS Receipt No.: Single I Residentiol Multi Res., Comm./Ind. I ? Name New/Alter./Repair. ` T- ; Address Cost of Instollation O CitY Phone: Permit fee Name ??'Y'"'Y.i.?., :;?;!•. 'i`'f'?t:i:? p? Surcharge ? •'. t° ? , . } Address e ? City Phone: Totol This Permit is issued on the express condition that all work shall be done in accordance with all applicoble State of Minnesoto Statutes ond City of Eagon Ordinonces. Building Official CASH RECEIPT CITY OF EAGAN 3795 PILOT KNOB ROAD EAGAN, MINNESOTA 55122 DATE 19 uecervEO ' FROM AMOUNT $ I & DOLLARS 1 00 El CASH F-I CHECK FOR FUND COOE AMOl1NT Thank You BY / V White-PaYers Copy Yellow-Posting Copy _ Pink-File CoPY BUILDING PERMIT Te Ir umeA in. Site Address Lot Block Parcel .# - W I Nome 3 Addre 0 p Name ?? u Address CITY OF EAGAN 3795 Pilot Knob Roud Eagan, MN 55124 PHONE: 454-8100 Receipt .# N° 6530 io Erect ? Occupancy Alter ? Zoning Repair ? Fire Zone _ Enicrge ? Type of Canst. Move ? # Stories Demolish ? Front ft. Grade ? Depth ft. Approrols Feea Est. Value Permit Water & Sew. Surcharge Phone Polite Plart check Nome Fire SAC J Address Eng. Water Conn. , Ci Planner WaterMeter < Phone Council Road Unit I hereby acknawledge that I hove read this appiication and stote that Bldg. Off. the informotion is torrect and agree to mmply with all applioable State of Minnesota Statutes ond City of Ecgan Ordinances. APC Total Signature of Permittee A Building Permit is issued to: on the express condition that oll work shall be done in accordance with ell opplicable State of Minriesota Statutes ond CiTy of Eagnn Ordinances. Building Official Pxmit # DaH Ipued PaneMhe Plumbing n Mechanical 9 7 ? - ? - y :-i_? r :i 5"4 / 5? y` - ?Z - y/ ?... -h-.?i?i?? INSPECTIONS TE INSP. Rough-In Final Footings Da Insp. -Date Insp. Foundation Plumbing ? t .? - e ins. Mechanical / . . al O_ ^ Remorks: / No. ` Dute: Site Address: CITY OF EAGAN 3795 Pilet Knob Roed Eegen, Minnesota 55122 rhone: 454-8100 PERMIT Lot Block ` Sub/Sec. ?iar?iill 2n`1 ,,, Nome Tb -9d1 c?1(."' . ; Address 1?,3).C "z.?]„( ;,' ?fi O ,oV City )` - Phone: ? Nome . ? Address rry 20.50 This Permit is issued on the express condition that all work shall be done in accordance with all applicable Stote of Minnesota Statutes and City of Eogan Ordinances. INSPECTOR NOTIFICATION REQUIRED BY LAW FOR ALL INSPECTIONS Receipt No.: Single I Residential Multi Res., Comm./Ind. New/ Alter./ Repair Cost of Instcllation Permit Fee 20.00 Surchorge Toeal Building Official No. Date: CITY OF EAGAN 3795 Pilof Kneb Roed Ea9an, MinnesoM 55122 Phone: 454-8100 PERMIT SiM Address: :! 1 ° "'LL7"P.1 C,`E Lot ' Block ? Sub/Sea i Name `rollefsOA1 L-'1C11'8. ? Address ? City phone: Nome - . _ •-- . g. y ? Address City ' Phone: INSPECTOR NOTIFICATION REQUIRED BY LAW FOR ALL INSPECTIONS Receipt No.: Single I Residentiol Multi Res., Comm./Ind. I New/Alter. / Repair Cost of Instollction Permit Fee Surcharge Totol This Permit is issued on the express condition that all work sholl be done in accordance with all applicable $tate of Minnewta Statutes ond City of Eogon Ordinonces. -Jn. c:r 20.1 euiid„g officiai CITY pF EAGAN SEWER SERVICE PERMIT 3745 Pllot Knob Rood PERMIT NO.: Ea9an, MN 55122 DATE: Zoning: No. of Units: Owner: Addresr. - $ite Address: Plumber: I °sre° t° eomPlY M'ith fhe Ciry of Eagon Connection Charge: O?dinaneea. Acmunt De posit: _ Permit Fee: Surcharge: B Y Misa Charges: _ Dote of Insp.: Total: Insp.: Date Paid: CIYY OF EAGAN WATER SERVICE PERMIT 3753 Pilot Knob Road PERMIT NO.: Eagan, MN 55122 DATE: Zoning: No. of Units: Owner: _ Address: Site Address: Plumber. Meter No.: Connection Charge: Size: Account Deposit: Reader No.: Permit Fee: 1 agrea to eomply with the City of Eagan $urcharge: Ordinanus. Misc. Ciwrges: Total: BY Date Paid: Date of Insp.: Insp.: Insp.: OF EAGAN PiSot Knob Road MN 55122 Address: IauTel CC WATER SERVICE PERMIT PERMIT NO.: DATE: _ No. of Units: - No.: agree Po eomply with !he Cily of Eagan Connection Charge: ? Account Deposit: ? Permit Fee: Surcharge: Misc. Charges: Total: Date Paid: WATER SERVICE PERMIT ciTY oF enGAN 3795 Pilot Knob Rood PERMIT NO.: Eagan, MN 35122 • DATE: Zoning: No. of Units: Owner: - - }tddress: Site Address: ? Plumber: Meter No.: Connection Charge: Size: Account Deposit: ' Reader No.: Permit Fee: 1 agree to wmply with the City of Eagan • Surcharge: Ordinnnees. Misc. CFarges: By Date of Insp.: Total: Date Paid: - I nsp.: C:T Y OF EAGAN SEWER SERVICE PERMIT 3795 Pilot Knob Rood . . PERMIT NO.: Eagan, MN 55122 DATE: Zanin9: No. of Units: Owner: Address: Site Address: Plumber. I agree to eomply wifh the City of Eagan Connection Charge: Ordinances. Account Deposit: Permit Fee: Surcharge: BY Misa Charges: Date of Insp.: Total: Insp.: Date Paid: CITY OF EAGAN SEWER SERVICE 3795 Pilot Knob Road PERMIT NO.: Ecgan, MN 55122 DATE: Z.,nina: No. of Units: Owner: - Address: - Site Address: Eui? Plumber: 1 agree to comply with tha Citr of Eagan Ordinances. By Date of Insp.: Connedion Charge: Account Deposit: _ Permit Fee: - Surcharge: Misc. Charges: - Total: Date Paid: PERMIT 3 CITY OF EAGAN SEWER SERVICE PERMIT 3795 Pi.ot Knob Road PERMIT NO.: ? ,an, MN $5122 DATE: Zoning: No. of Units: Owner: Address: Site Address: Plumber: I egree to wmply with tha City of Eagan Connection Charge: Ordinanees. Account Deposit: By Date of Insp.: Insp. Permit Fee: Surcharge: Misc. Charges: Total: Date Poid: WATER SERVICE PERMIT CITY OF EAGAN : PERMIT NO 3795 Ptlor Knob Rood . in, MN 55122 ; DATE: , of Units: No Zoning: . ' Jwner. - Address: Site Address: Plumber: Meter No.: Connection Charge: osit: nt De A Size: p ccou it Fee: P Reader No.: erm r e: h S 1 ugree to eomply witl+ fhe Cify of Eagan g o urc es: Char Mi Ordinances. g sc. T t l o a : id: P D t BY a a e Dote of Ins : I ^SP•: p. . minnesoca state noara ot tiectncity Griggs Midway Bldg. - Room N191 , 1821 University Ave., St. Paul, Minn. 55104 - Pkone 297-2111 -REQUESLFOR ELECTRICAL INSPECTION CH'ECK BELOW WORIC COVERED BY THIS REOUEST ? EH-00001-02 ' 4415 T 2?612 Type of Building New Add. Rep. Check Applian ces Wired Foi Check Equipment Wired For Home 30 ? ? Range • Tempocary Wiring ? Duplex ? ? ? Water Heater ? Lighting Fixtuces ? Apt. Bldg. ? ? ? Dryer ? Electric Heating ? Commercial Bldg. ? ? ? Furnace EY2 • 00 Silo Unloader ? [ndustrial Bldg. ? ? ? Air Conditioner ? Bulk Milk Tank ? Farm ? ? ? List List Other ? ? ? o HereIS( DisA.Dls. .xx4. p Heterg? COMPUTE INSPECTION FEE BELOW Secvice Entranre Size: # Fee 1 1 Feeders&SubPeede[s: # Fee Ciicuits: # Fee 9toI00Amps.1( XUU .5 0 to 30 Am res 0 to 30 Am eres . 101 to 200 Amps. 31 to 100 Amperes 31 to 100 Am eres Above 200 Amps. Above 100 Amps. Above lOQ_Amps. Transfo ' „ . Remote Control Cira Partial or other fee Signs ; ? Special Inspection Minimum fee S Remazks Jeff D.? ? TOTALF ?•? 34600 1, the Electrical Inspector, hereby certif it?a'aKthe Y (Rough-in) (/cJ. (Final) has bee made. bate Date /e This request void 18 months from This request void e? 18 months frrm 17ate of this Request 3-30-1981 Fire No. T 25612 ?,r[, as Micensed Electrical Contractor ? Owner, do hereby request inspection of the above electri- cal wiring installed at: Street Address or Route No. 3825 La.urel Court City Ea.gan Section Township Range County Dakota Which is occupied by Tollefson (Name of Occupant) Is a roughin inspection required on this job? No ? Yes EY Ready Now O Will Call EF Power Supplier Dakota Gty. Address Farmineton O.B. Thompson Electric Co. Electrical Contractor Aq06o2 Contractor's License No. dCompan Name) Mailing Address 12201 tka B?vd. , Mtka 55343 11, . (Electrical Contractor oLOwner MakMg This Installation) ' . Authorized Signature PhoneNo. (Electrical Contractoror Owner Making This Installatlon) This inspection request will not be accepted hy the : l1Li ?il' 5tate Bdard unless proper inspection fee is enclosed. . nmeaVaw uwao Walu or n?anciry Griggs Midway Bldg. - Room N191 ? 192'f'University Ave., St. Paul, Minn. 55104 - phone 297-2971 ? REQUEST FOR ELECTRICAL INSPECTION ? CHECif BELt)V WOAK COVEREB BY TH1S RF.CIiiF.ST ? EB-00001-02 ? T 25613 Type of Budding New Add..Rep. . Check Appliances Wired For Check Equipment Wiied For Iiome 3d3dg ? ? Range fk4.00 Temporary Witing ? liuplex ? ? ? Water Heater ? Lighting Fixtures 19 Apt. Bldg. ? ? ? Dryei ? Elec[iic Heating ? Commercial Bldg. ? ? ? Fumace gEkQ, OD Silo Unloader ? Industrial Bldg. ? ? ? Ait Conditionec ? Bulk MIlk Tank ? Farm ? ? ? List List Other ? ? ? p Herers? Disp.Dt sh*XX4, Heiels? ) COMPUTE INSPECTION FEE BELOW Setvice Entrance Size: # Fee 1 1 Feeders&Subfeeders: # Fee Cirwits: # Fee 0 to 100 Am s. , 0 to 30 Am eres 0 to 30 Am eres + 101 to 200 Amps. 31 to 100 Ampe:es 31 to 100 Am e:es Above 200 Amps. Above 100 Amps. Above 100 Amps. Transfoimer mote Control Circ. Paztial or othei fee 50 Signs p cial Ins ection Minimum fee . Remarks ? Jeff D. TOTALF aj:?.50 4+00 1, the Electrical Inspector, hereby certif t the o irrSpection has been ma3?, (Rough-in) Date ir/? l (F??) Date Ya ?- This request void ' 18 months from 122?-??Cz.?-'t?.?/ This request void .4 f d, ?1// 1E months from "? S ??? ? Date of this Request Fire No. T25613 I, asxM Licensed Electricat Contractor 0 Owner, do hereby request inspection of the above electri- cal wiring installed at: Street Address or Route No. 3823 Laurel Court City Fae.an Section Township Range County Dakota Which is occupied by Tollefson (Name of Occupant) Is a roughin inspection required on this job? No ? Yes EF Ready Now ? Will CalM Power Supplier nakn+ Cty. Address Farmington Electrical Contractor O.B. Tho*apson Electric Co. Contractor's License No?0602 (Company Name) Mailing Address 12201 Blvd. i, AAtka 55343 (Electrical Contractor or Owner Making-This Installation) Authorized Signature '. Phone,No. .. L;'; is'? (ElectrfcabCOntractor or Owner MSking This Installation) Cff)ly This inspection request will not 6e accepted by the .. j? ?; ? State Board unless proper inspectian fee i; enclosed. mmnesoia acaia uoara or tiectnaty -Griggs Midway Bld'g. - Room N791 / EB-00001-02 - ,!1821 University Ave., St. Paul, M+nn. 55104 - Phone 297-2111 D i`J 'RE(2UEST FOR ELECTRICAL INSPECTION ? : ? ? ?,? ? CHECK BEi,O?P'4COI2K COVEREB RY THiS RF.(lI1F.ST '&ype of Building New Add. Rep. Check Appliances Wired For Check Equipment Wiced For Home IOC ? ? Range -U . Temporary Wiring ? Duplex ? ? ? Water Heater ? Lighting Fiutures _-a Apt. Bldg. ? ? ? Dryer ? Elec[cic Heating ? Commercial Bldg. ? ? ? Fumace =M. 00 Silo Unloader ? Industrial Bldg. ? ? ? Air Conditioner ? Bulk Milk Tank ? Fazm ? ? ? List ?n, ,,_ , nn List Othex ? 0 ? __ ptheis ??.,,..1,? Here - ? -- ,, „ ,,, . ? Othecs? Here f COMPUTE INSPECTION FEE BELOW Service Entcance Size: # Fce Feeders& Subfeedecs: # Fee Circuits: # Fee 0 to 100 Am s10 L'G ,90 0 to 30 Am eres 0 to 30 Am eres 8 1,00 101 to 200 Amps. 31 to 100 Amperes 31 to 100 Am eres Above 200 mps. ? Above 100 Amps. Abwe 100 Amps. Transform ` Z . emote Control Circ. Partial or other fee Signs -+ pecial Inspection Minimum fee $5.0 Remarks Jeff D.? ,-, TOTALF 4.00 t, tne tlectncal lnspector, hereby certifhe Inerv pectio as been m? (Rough-in) ate ?-? r3'l (Final) - „ _ ? -_ ^? Date ?Gf r This request void 18 months from This request void :? 1 &:tionths from Dite of thfi Request 3-30-1981 Fire No. 725614 I, as -B Licensed Electrical Contractor OOwner, do hereby request inspection of the above electri- cal wiring installed at: Street Address or Route No. ?;891 T aural Covr City Ea.o-axi Sectlon Township Range County XXXXKDa_kota Which is occupied by_ mnl l af4n., (Name of Occupant) Is a roughin inspection required on this jo6? No ? Yesia Ready Now ? Will Call Q= Power Supplier_ DaY.ota Ctv. Address Farmington ElectricalCortractor O.B. Thomipson Electric Co. Contractor'sLicenseNo.A40602 (Company Name) - Mailing Address 12201 I14t'.?a Bl-ad„, Nitka 55343., ?(ElectNcal Contractor or,Qwner Making?Thls Installation) ' . . Authorized Signature ?Phone No. (Electrlcal Contractor or Owner Making This Installation) ? ?j This inspection request will not be accepted by the ??A?j }? ? RO?",=?RD CO[?'Y State Board unless proper inspection fee is enclosed. mmnesoca scace Lsoara oi tiectncity ? Griggs Midway Bldg. - Room N191 7827 University Ave., St. Paul, Minn. 55104 - Phone 297•Z111 REQUEST FOR ELECTRICAL INSPECTION INEC,.'C_BEZOW WORK COVFRFn RY THIS R17.0I1FST EB-00001.02 7 25615 Type of Budding New Add. Rep. ('heck Appliances Wired For Check EquipmeM Wited For Home V ? ? Range 0 - Temporary Wiring ? Duplex ? ? ? Water Heater ? Lighting Fixtures 30 Apt. Bldg. ? ? ? Dryer ? Electric Heating ? Commercial Bldg. ? ? ? Furnace :22.00 Silo Unloader ? Industrial Bldg. ? ? ? A'v Conditioner ? Bulk Milk Tank ? Farm ? ? ? List List Other ? ? ? 1 Others? iU . 1 Here i.,.. . Qthers? r?ere COMPUTE INSPECTION FEE BELOW Service Enttance Size: # Fee Feeders& Subfeeders: # Fee Circuits: # Fee 0 to 100 Am 40 UG . 0 0 to 30 Am eres 0 to 30 Am eres 8 ( 0 101 to 200 Amps. 31 to 100 Amperes 31 to 100 Am eres Above 200 Amps. Above 100 Amps. Above LOD Amps. Transformers Remote Control Circ. Partial or other fee Signs Special [ns ection Minimum fee $5. Remazks `?, Q - ?( ?? Jeff D. (:.? T? _ i T07ALFEE ?, y'g7 34.00 l,the (Final) This request void 18 months from t?? certif?sCthe c?. has been ma? 'Date ?' ?? r Date y > • 7 3 ev TI9is request void L/G dli 33.S0 ?' 18 months from Date of this Request_3-30-1981 Fire No. ? 25615 I, as)U Licensed Electrical Contractor 0 Owner, do hereby request inspection of the above electri- cal wiring installed at: Street Address or Route No. 3819 Laurel Court City j?gt?a-'i Section Township Range County Dakota Which is occupied by Tollefso n (Name of Occupant) Is a roughin inspection required on this job? No ? YeM Ready Now ? Will Callt3 Power Supplier Dakota Ct,?v Addtess Farmir2gton Electrical Contractor O.B. Thornpson Electric Co. Contractor's License NA40602 (COmpany Name) MailingAddress 12201 Mtka Blvd.$ P,Itka 55343 _ (Electriwl Contfactor or'Owner Mskin9This Installation) Authorized Signature ^ ? ? _- 'Phone,No. - (Electrlcal Contractor or Ownel Making This Installatlon) This inspection reqaest wiil not 6e accepted try the :. ?- 1?'E? State Board unless proper inspection fee is enclosed: ' . ., r (gtrfifirtttr of (Orrixpttnry -.;- , . Citp of (Eagan . .. ?- ?,. -- . ; 39Ppttr#menf nf luil,ding Jtwppriimt _- . . - ?. Tbit f.crti ficate is.cucd pursuant to tbe nquisemcnir of Section 306 of tbc Uniform Building Codc certi fying tbat at tlx time of itsuancc this ttructurc iuat rn iompliana witb the variaur wdiuarucr o f tbe City rcgulating bxilding connsuction or uie. For thc foUoudng: _ ? . , •` ,; ,,;?„'? • 7k`` . r `? R : Ur Chml"radm 1 o f' 4 PLEX 6530 B1dg Rmdt No. O-PUKY Type R3 m,Cm,t?don v F,ML_. •"3 ,Z?Mtnc, R3 ?m of 8UUm,` Tollefson Bidrs. Addnm 13816 Holyoke Ia., Apple V, %.,a,_.:,,_ 3819 Iaurel Ct. .--,:_.I,ot lO.Bloek 1.Briarhill 2? By. October H,,;,,;,,?a,?,, 1, 1981 - - . :? - _ . . ..? - . - ' . .. , . . . . . ..i -..:,?;?_.. . ll}NOIM U.S.M. CITY OF EAGAN N° 6532 . 3795 Pilot Knob Rond Eagan, MN 55122 PHONE: 454-8100 BUILDING' PERMIT APPLICATION Receipt # 937yw? To be used tor 1 of 4 plex Est. Value 52r000 Date 3-19 , 1981_ Site Address3823 Tanral Ct _ _ Erect ? Occupancy - Lot 12 _ Block 1 $ec/Sub. BT1dYY1111 ZriCI Alter ? Zoning Parcel $k z I Name `ibl 1 efSOn Bl drs , ; Address 13816 'HOZy0IC2 I,YI b ? Name _ 0 ?? Address Name Phone Repair ? Fire Zone _ Enlarge p Type of Const. Move ? # Stories Demolish ? front ft. Gmde ? Depth ft. Approvals Fees AssessrrpillIt , Woter & Sew Police - Fire Permit 143 _ 50 Surcharge 26 _ 0 Plan check 71.75 SAC 525-?0 Woter Conn. -30AID Water Meter --01_Qo Road Unit 165.0? ?? I Address Eng. - a'Z" City Phone Planner _ Council _ I hereby acknowledge thot I have read this application and stote that gldg. Off. the informotion is corred and cgree to comply with all applicable APC - State of Minnesota Statutes ond City of Eagan Ordinances. Signoture of Pertnittee A Building Permit is issued to: _ all work shall be done in accordance Tollefscn Bldrs. al I of Total I.F316.25 on the axpress condition thot $tatutes and City of Eagan Ordirwnces. Building Officiul A BUILDING PERMIT APPLICATION N4 6533 Receipt .j? 23??;--- To be dsed for 1 of 4 plex Esr. Value 52,000 Dore 3-19 , 198? Site Address 3825 Ix'iLl'CA1 Ct. Erect Na Occuponcy R3 Lot 11 Block 1 Sec/Sub. Br1dY'h7'll 2rid Alter ? Zoning R3 Repoir ? Fire Zone 3 Porcel # Enlorge ? Type of Const. V z Nome Tollefson Bldrs. Move ? # Stories 3 Address 13816 Holyoke Ln. Demolish ? Front 44 ft. ? ci A pp12 Vdl1.23phone Grade ? Depth 24 ft. w o Name - ADProvals - Fees ??? Address ~ Ciri Phone Name _ Address CITY OF EAGAN 3795 Pi1M Knob Road Eagan, MN 55722 PHONE: 454-8100 I hereby acknowledge that I have read this opplicotion and state that the information is correct and agree to comply with all applicable $tate of Minnesota Statutes and City of Eagan Ordinances. AssessAOntl-2-2-80 Warer & Sew. Police Fire Eng. _ Planner _ Council _ Bldg. Off. APC - Permit 143.50 Surcharge 26.00 Plan check 71 _ 79. SAC 525_00 Water Conn. 305.00 Water Meter 60 _ 00 Road Unit 1 $5 _ 00 Total 1 ;'116_>2? Si9nature of Permittee 1 A Building Permit is issued to: 'P0112fSOd1 BIdY'S. on the express condition thct all work shall be done in accordanceAith oll appliq#e $loe of Minnesota Statutes ond City of Eagon Ordinontes. Building Official , _ 33 ? _ ?(n7 CITY CF FACAN Inclucie 2 sets of plans, 1 site plan w/elevations 6 ? BUIIDING PEAtHIT APPLIChTION 1 set of energy calculations. Rb Be Used Fbr Valuation Date -//-% ? Site Address JOP?7/ Cl.??? //?i ICE iJSE Ot1LY Lot?/,- zBlock / Sec.%Sub(?!?L??? Erect Q.cupancy ? Parce1 f/) /OR/ //D /? / lter Zonin4 Fepair Fire Zone 3 Owrtier: Enlarqe Zype of Consr_, v AddreSB: Move # St.ories _ DeRnlish Front y u ft. City/ZiP aodec Grade ? DePth jL/ ft. Ptlone #: Addness: /J, City/Zip Cbde: Phone #: " Arch. /tng. . . Address: Cit]'/Zip Cocle: Pt?om 1{ : AF'PRL7VAL.S FF?'S ASSessfrnllts Pe[mit 1y3,S6 Water/Sewer Surcharqe o Polioe Plan Chack 7 i.7s- "FiYe SAfr .s 2s. e o Eng. Water Conn. 3, S o a Planrer Water Meter 4 a o 0 Cowticil Rcxad Unit Hldg. Off. APC TarAL 1:3 • ? 'd-S' x 4 CITY OF EAGAN 3795 Pilot Knob Road Eagan, MN 55122 N° 6530 ' PHONE: 454-8100 BUILDINCr PERMIT APPLICATION ReceiPt .# To be uaed ior 1 of 4 plex Est. Volue 52 r000 Date _ 3-19 1981 Site Address 3819 LaUY'@1 Ct. _ Erect p Occuponcy R3 Lot 10 Block 1 Sec/Sub. I3rilThill 2rid Alter ? Zoning R3 Parcel # Repair ? Fire Zone _ 3 Enlarge ? Type of Const. U w Name `'b11EfSOri B1dL'S. Move ? .{k Stories ; Address 13816 HOlyQke Lri. Demolish ? Front 44 ft. ° ci Apple Valley phone Gmde ? Depth 94 ' ft. ? Aoorovals Fees Name ,o ug Address nw....,. Nume _ Address I hereby acknowledge that I have read this application end state that the information is correct ond agree to comply with all applicable State of Minnesota Statutes and City of Eogan Ordinonces. AssessloGnt12-2-AO Water & Sew. Police Fire Eng. Plcnner Councii Bidg. Off. APC Permit Surcharge 26.nn Plan check 71_75 SAC 525.00 Water Conn.305.00 Water Meter 60. 00 Road Unit 185) -nn Total 1 F 316 _ 5 Signature ot Permittee I A Buifding Permit is issued to; `I'0l12fSCR1 BZ(lY'S. on the express condition that all work sholi be done in accordarxe with aII opaUcable State of Minnesota Statutes and City of Eagan Ordinances. Building Official BUILDING PERMIT APPLICATION To be used For 1 of 4 plex E 52 Site Address 3821 LdLlY2l G`t. Lot 9 Block ISec/$ub. 13riarhi11 2rid Parcel # w IN.n,, Tollefson Bldz'S. ; Address 13816 Holyoke Ln --- p Nome _ ? ?U Address Name _ Address Receipt # N° 6531 0 Dote 3-18 - -, 19B1_ Erect bi Occupancy ? Alter ? Zoning Repair ? Fire Zone 3 Enlarge ? Type of Const. V Move ? # Stories 44 Demolish ? Front - ft. Grade ? Depth 24 ft. Aoorovals Feee AssesA(antl 7-7-R (1 Water & Sew. Police Fire Eng. Planner Council Permit 143.7V SurcFwrge 26.00 Plan check 71.75 sAC 525.00 Water Conn.305. 00 Water Meter 60.00 Road Unit 185.00 I hereby ocknowledge that I have reod this applicotion and state that gldg. Off. the information is correct ond agree to comply with oll applicable ??? ? Stote of Minnesota Stotutes and City of Eogan Ordinances. APC Total f.- Signoture of Permittee A Building Permit is issued to: `1b1lefSOri BZCZY'S. on the express condition that all work sholl be done in occordance ith all appli le S ote of Minnesota Statutes ond City of Eogan Ordinances. Building Official A ?? ? ? '?'? ? "' ? -?" CITY OF EAGAN 9795 Pllot Kno6 Road Eogon, MN 53122 PHONE: 454-8100 , RESIDENTIALBUILDINGn City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 New ConsWCtlon Reauirements , RemodeUReoair Reauirements 3 registered site surveys showing sq. ft M bt, sq. ft. of house; and all ?/;?; lan showing footings, beams, joisis (20yo maximum lot coverege allowed) ?`? d ???? ?r heated addibons 2 copies of plan showing beam 8 window sizes; poured found desig 1 sile sun?y?f dditions & decks t set of Energy CalculaGons SEP ,?1, d? on - in e if on-site septic sysfem 3 copies of Tree P2servaGon Plan 'rf lot platted after 711193 npI C(J?l Rim Joist Detail Op6ons seledion sheet (buildings with 3 or less units) ? Minnegasco mechanipl ventilation fortn fl?5D.,Ds 06U offceusern,mkD Cert of Sur4ey Recd _ Y_ N Tree Pres'Plan Recd • Y N TreePres.Required _Y _N On-siteSepticSystem, _Y _N Date Site Address 322 3 L. Au,Q,gL Construction Cost C' 6 v27- UniUSte # Description of Work J:EAIOV6- leEpLR-CC p«,? ?yp Zti6--S Multi-Family Sldg X Y_ N Fireplace(s) _ 0_ 1 _ 2 PropertyOwnerY 145-- '-'f+nu„/ A,,YAh-cs,u1- %714,u4 C, r-,H,,.- 7622 L. 1,411E /?liAO /r7/,vtE Telephone#(74-, 3 ) 37 2 7 ?T/LGVE /f>i(/ S53i? Contractor BE1 E)CrF R I Q2 ?1A 41Ni C(}(ZP Address 4os- Kgs- 6nn+ State ?IUMPS(}M 372eET Zip Jr,J'rq? 1 City MINNC"OLIS Telephone#(6I7 ) 261`67-q'3 COMPLETE THIS AREA ONLY IF Energy Code Category - Minnesota Rules 7670 Categorv 1 (4 submission type) • Residentiai Ventilation Category 1 Worksheet Submitted • Energy Envelope Calculations Su6mitted A NEW BUILDING _ Minnesota Rules 7672 • New Energy Code Worksheet Submitted In the last 12 monihs, has the City of Eagan issued a permit for a similar plan based on a master plan? _ Y _ N If yes, date and address of master plan: Licensed Plumber Mechanical Contractor Sewer/Water Contractor Telephone # ( Telephone # ( Telephone # ( I hereby apply for a Residential Building Permit and acknowledge that the information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan and the State of MN Statutes; I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. Applicant's Printed Name Applicant's Signature Lv lI va TI1\111JY1'JLV rI aiiau u.l1i { Sub TVpes ? 01 Foundation ? 02 SF Dwelling ? 03 01 of _ plex ? 04 02-plex ? OS 03-plex ? 06 04plex Work TVpes ? 31 New ? 32 Addition ? 33 Alteration `e 34 Replacement ? 13 16-plex ? 16 Fireplace ? 17 Garage '0 18 Deck ? 19 Lower Level ? 20 Pool ? 21 Porch (3-sea.) ? 22 PorchlAddn. (4-sea.) ? 23 Porch (screen/gazebo) ? 24 Storm Damage ? 25 Miscellaneous ? 30 Accessory Bldg ? 31 Ext. Alt - Multi ? 33 Ext. Alt - SF ? 36 Multi Misc. ? 35 Int Improvement D 38 Demolish interior ? 44 Siding ? 36 Move Buiiding ? 42 Demolish Foundation 0_ 45 Fire Repair ? 37 Demolish Building' ? 43 Reroof ? 46 Windows/Doors *Demolition (Entire Bldg) - Give PCA handout to applicant DeSCriptiOn: Water Damage _ Yes Valuation DDp, rvo Plan Review 100% or 25% Census Code Y 3? SAC Units # of Units # of Bldgs Type of Const Occupancy 4- zc I MCES System Zoning ?-? City Water Stories Booster Pump Sq. Ft. PRV Length Fire Sprinklered Width REQUIRED INSPECTIONS Footings (new bldg) _ Sheetrock _6? Footings (deck) FinaUC.O. _ Footings (addition) ? FinallNo C.O. Foundation HVAC Drain Tile Other Roof _ Ice & Water _ Final _ Pool Ftgs Air/Gas Tests Final _ Framing _ Siding _ Stucco Lath _ Stone Lath _Brick _ Fireplace _ R.I. _ Air Test _ Final _ Windows Insulation Retaining Wall Approved By: Building Inspector Base Fee Surcharge Plan Review MC1ES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant License Search Copies Other Total ? 07 05-plex ? 08 06-plex ? 09 07-plex ? 10 08-plex ? 11 10-plex ? 12 12-plex ? I` Y4?'yi!, Lf}t,??'e? WJl?7 Tolllefson Buildara Inc. Or,11201 ? `"?..?• 183-10 so, F. C. JACKSON 1 ,'.;?'rh5i1 ,•y .. LAND SURVEYOR - ?T.' ? .? RFGIS7EPEG UNpHp LAWB OP BTATE OF kINNBBOTA ?.?y,'... UC6NSHD BY OROINANC[ OF CIT' G MINNEAPOLIB ? • i ''- ;??'?§ 9618 EAST SSiN STREET 55417 727-3494 P7 ? '` ? - ptbtpOC'? Q?fC1f{Udlt ? VACANT 83.15 9. q 13.17 'r?ev 21.66 21.66 N.17 `O o? N ? O ' n M• '? I ? 30 286.37' N p N /2s7 ? IO'OFFSET 44.00 44.00 30, 2°23 98'? i ? ? / ? @0? !1F /?7 N 13.17 a g? 3455 ? 9.17 21.66 21.66 N a 13.17 1 I I 9.17 ? 10'OFFSET p Qf i g1?5 l?? 3?Zd A,A I 11 J\ 9\I 1 ' i 060,0 = Exieting Elevatioae p ' . , . . . . . . . . . ... a ? ___ : Drainage and Utility Easementa ' Drainage j SCALE; I":30' Propoaed garage flvor Elev. 95,0 0 DENOTES IRON ? • DENOTES SPIKE and Bneemenk GPGI- g16 Ptopoeed Firat Floor Elev, 103.85 1 ` I hereby certify that t ie Ls a true and correct plat of a aurve.y af: Lota 4,10,11 and 12,Dloek l,Brier Hill 2od. Addition,Dakota County,Minneeota. "Af BURVEYCD BY Nfi THiS 5th. DAy ? NOV, a p. 1980 S8? ffe x4 a..20'27'23 SIGNC ' i F. C. JACKSON. MiNN[eoT^'? ?oiaraA7aN. No. 3800 ?. . ? A I? i I „ , ? ? ? A?v J ?P P 0 y? ?vP .' I I I I ? I I i ? I ? i . I I I I I ? i i I I I I I I I i I I I / j, ?31icfaan 8uildera Ioc. Or,11101 183-70 F. C. JACKSON uwu suaveroe Ri618TERED VXOlR U1W8 O' 6TAT8 OI MINNMpTA. LiciHaco sr onweuMa oP cin or wiNNurous ? 9818 EABT SSTN STREET 55417 727•3484 ? urucpoc'g Certificate O VACANT r ` lJ r ? J e3.15 I a 10' OFF$ET? 9.17 ? J ? 9A? I I a m 2166 16 N 17 p't N 1317 30 ?l 286.37' N a / N N ? N . N ? 129' I ? . 10' pFfyET 44.OD ?44.00 30, ? 9% ` R;g N . 7 ? N N 13.17 Q 9g5 N 21.66 9.17 21.66 N a 13.17 1d OFFSEi 9.17 12 ? 9N.5 94 ; 060.0; Exiating Elevatioae Dninage aad Utilitq Eqeementa Drainage SCaLE: i":ao' Propoeed gsrage floor Elev. 95.0 0 DENOTES IRON • OENOTES SPIKE and B?eenent g16 Pr0p0sld F11sC FL00[ EIEV, 103,85 G I hereby certify that t ir ie a true and correct plat of a eurvey of: ? Lota 9,10,11 and 12,Eloek 1,Brier Nill 2od. Addition,Dakoh County,Minneeota. ' 1As eumcreo w r¢ rHi¢ 5th. ?r OF Nov, D. 1980 ; ? 20•27-23 sieNe ? F. C. JACKSON. MiNN[eoi croiaAiroN, N0. SE00 ! ¦ CITY USE ONLY 997 L? BL / RECEIPT#: rIO SUBD.421tiz? 'HY RECEIPT DATE: 7 1997 PLUMBING PERMIT (RESIDENTIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN, MN 55122 (612) 661-4675 Please complete for: ? single family dwellings ? townhomes and condos when permits are required for each unit ? backflow preventer for underground sprinkler system FIXTURES EACH NO, TOTAL Shower 3.00 x = Water Closet 3.00 x = Bath Tub 3.00 x = Lavatory 3.00 x = Kitchen Sink 3.00 x = Laundry Tray 3.00 x = Hot TublSpa 3.00 x = Water Heater 3.00 x Floor Drain 3.00 x = Gas Piping Outlet • minimum -1 • 3.00 x = Rough Openings 1.50 x = Water Softener "fordwellings underwnstrudion 5.00 x = Water Softener ' for existing dwelling 20.00 x = U.G. Sprinkler ' for dwelling under const. 3.00 = U.G. Sprinkler ' for existing dwelling 20.00 = Alterations " to existing residence 20.00 = Water Turn Around 20.00 = Private Disposal System ` Dak Cty lic. 75.00 = (new and returbished systems) Private Disposal Systems'Abandonment 20.00 = STATE SURCHARGE TOTAL .50 I hereby adcnowledge that I have read this appGcation, state that Me inTOrtnation is corred, and agree to compty wRh all appiicable City of Eagan ordinances. R is the applicanYs responsibility to notiTy the property owner that the Ciiy oi Eagan assumes no liability for any damages caused by the City during its nortnal operational and maiMenance activities to the facilkies constructed under this permit within City propertylright-of-way/easement. SITE ADDRESS: , OWNER NAME: INSTALLER NAME: , HONE #: 96Lo "l?D 9oZ. STREET ADDRESS: ? 3 CITY: STATE: MAI zI P: 5-5-412 SIGNATURE OF PERMITTEE City of ?? __ '_- _--____- i I Fo? Q.L„f?c? Use I ?! t ? .Permit#: i PermitFee: ? EzJi ? Date Received: I I Staff: L I I I 2008 RESIDENTIAL BUILDING PERMIT APPLICATION Date: iw 3/,e Site Address: V? R IA 2 Oi L L- Tenant: Suite #: RESIDENT/OWNER Name:e/v A5soet .a-.o?J Ffp,3e-1 z- phone: 9 v-37.Z 7 Address / City / zip: 3 g X( L Mcj /L L L Applicant is: _ Owner X Contractor TYPE OF WORK Description of work: {Z £- f3 G.? Construction Cost: 41)60, G? Multi-Family Building: (Yes X / No CONTRACTOR Name: (? £/ E'X 7--c2l o!L *M 1,4 ;. License #: 3.?.2 41111 I Address: t?L -f L.:' City: /yJ P L SI State: Zip: SS 4/1 ?j Phone: L, 2V3 Contact Person: 4vQ'2i S COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING _ Minnesota Rules 7670 Cateqorv 1 Minnesota Rules 7672 Energy Code . Residential Ventilation Category 1 Worksheet . New Energy Code Worksheet Category Submitted Submitted (4 submission type) • Energy Envelope Calculations Submitted In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan? _Yes _No If yes, date and address of master plan: Licensed Plumber: Phone: Mechanical Contractor: Phone: Sewer 8 Water Contractor. Phone: NOTE: Plans,and supporfing tdocuments that you su6'mi# are, consideced to [ie public irtfornation: Portrons of the information may be classified as'nan-public if you provide,specific,reasons.that would per,init the C?ty to :conclude that the are trade secrets. I hereby acknowledge that this information is complete and accurate; that the work will be in confortnance with the ordinances and codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, and wor 's not to sta out a permit; that the work will be in accordance with the approved plan in the case of work wh? \J i'cIhC?re/7 uire a review and approv of ans. ? I ?- E IJ ??III X?el Ly ,i:e,/La2 r 5 ? x ApplicanYs Printed Name L lf APR 0 3 2008 V ApplicanYs Signature Page 1 of 3 DO NOT WRITE BELOW THIS LINE SUB TYPES ? Foundation ? 05-plex ? 16-plex ? Accessory Building ? Pool ? Single Family ? 06-plex ? Fireplace ? Porch (3-season) ? Ext. Alt. - Multi ? 01 of _ Plex ? 07-plex ? Garage ? Porch (4-season) ? Ext. Alt. - SF ? 02-Plex ? 08-plex `e Deck ? Porch (screen/gazebo/pergola) ? Multi Misc. ? 03-Plex ? 10-plex ? Lower Level ? Stortn Damage ? 04-Plex ? 12-plex ? Miscellaneous WORK TYPES ? New ? Interior Improvement ? Siding ? Demolish Building* ? Addition ? Move Building ? Reroof ? Demolish Interior ? Alteration ? Fire Repair ? Windows ? Demolish Foundation ? Replacement ? Egress Window ? Water Damage ' Demolition (entire building) - give PCA handout to applicant DESCRIPTION: Valuation 3? DOD •- Occupancy .71? C -? MCES System Plan Review Code Edition Z'D a '7 SAC Units (25%_ 100% Zoning ? City Water Census Code y 3 Y Stories Booster Pump # of Units Square Feet PRV # of Buildings Length Fire Sprinklers Type of Const. Width REQUIRED INSPECTIONS Footings (new bldg) Sheetrock ?p Footings (deck) Final/C.O. _ Footings (addition) }+ FinaUNo C.O. Foundation HVAC Drain Tile Other. _ Roof: _Ice & Water _Final Pool: _Footings _Air/Gas Tests _Final Framing Siding: _Stucco Lath _Stone Lath _Brick Fireplace: _R.I. _Air Test _Final Windows _ Insulation ? , A Retaining Wall Reviewed By: ?f(l?(/1? _ Building Inspector ------------------ -------------- ? -- ----- RES(DENTIAL FEES: Base Fee Surcharge Plan Review MC/ES SAC Gity SAC Utility Connection Charge S&W Permit & Surcharge 7reatment Plant Copies ? Z 1 cs ? Total Page 2 of 3 . ?? , . . . ? 'Toi•Iefaan Bailders Inc. Or.11202 183-70 ? F. C. JACKSON , uno suRVEroR , NE615TEAE0 UHOEA LAWS OF BTATE OF MINNESO7A UCENSEO BY OROINANCE OF C1TY OF MINNEAPOLIB ? 8616 EAST 58tH STREET 55411 727-3484 Q7 ? - J ur%'o Ccrnftet O VACANT `J ? ' - 83. ?5 -Ij r ? 9.I7 ? ? 9 l??lo? `' J ? % A5 13.11 a N 2L65 21.6 6 9.17 ,,,yyy 4M ?gY• Np. ? ? Q r M J '---- i z86.37' N?? E?SIO?D? 1 ?? 30 ND gUU???G, N 12S7 ? 4-4z2 ? ? ID' ? ' ET 44.04 44.00 30, °3' P O ??'? I a F?J / N ' -. 13.17 y ? 55 21.66 -5A ? .I a a I7 ? ?, I I z1.66 I3. ? , 917 12 ?.?. , ? ? 10'OFFSET 98 OQp ? ? cn o I ? e I o V OEQ? n 9,15 J ? - ? Dq?e Q? ? Su000,0_Existing Elevasiona a ? 02 _?rainage aad Usility Epsementa i Draiaage I i ScaLE: 1"=30' Propoaed garage floor Elev. 95.0 I 0 DENOTES IRON pR ? • DENOTES SPINE and Baeement I ?A??? Gp?pGE 9? 6 Propased Firat Ftoor Eiev. 103,85 I I 3 E tipS? e? , I heraby certify thac t is ta a true aad correcc ptat of a aurvey of: Lote 9,14011 and 12,Blocfc 1,8rier 4i11 2ed. Addition,Dakota Councy,Minneeota. ?J Af SURVEY6D 9Y qC TNt. 5th. OAY W xD9' D. 1980 V$O 20'2I'23 SIGNE / ?1-' j F. C. JAGKSON, MINN[soTk ? Gis7ruTrom. No. 3800 , .;:.`'. . ? _ _ _ _ _ _ _ _ -_ - _ _ _ _ - ? ? FO[ Q?G2'_1?38 ? ? Permit I I i Permit Fee: , ?C?) • ?.? i , ? Date Received: I ? I I Staff: ? I I 2008 RESIDENTIAL BUILDING PERMIT APPLICATION Date: ?J 3 n D ' Site Address: A (Z L L -To L„-3 x1 Nv iK E S Tenant: Suite #: RESIDENT/OWNER Name: ?/C' PF10n8: 7?-T-y45/- 37;27 Address / City / Zip: L.o-u Q E L C r, Applicant is: _ Owner X Contractor TYPE OF WORK Description of work: £-+'b u i c. +'% 6E 4? Construction Cost: g% d U, v C.7 Multi-Family Building: (Yes X / No ? CONTRACTOR Name: 2 E/ £'x > La? o)2 License #: zc- ), G1 / l 3 1 Address: 1/0 S L.% ?(p c?? City: ff'I rPL S, State: /n,? Zip: Phone: GS 2 Y3 Contact Person: D`? ?? z- ;4u/1 '2 i S COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING _ Minnesota Rules 7670 Cateaorv 1 Minnesota Rules 7672 Energy Code • Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet Category Submitted Submitted submission type) • Energy Envelope Calculations Submitted In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan? _Yes _No If yes, date and address of master plan: Licensed Plumber: Phone: Mechanical Contractor: Phone: Sewer 8 Water Contractor: Phone: NOTE: Plans'antl supporting documents fhaf<you submrt are'considered to be<publicinformafion: Portions of `;; the information maybe classified as non putilic if you provide sp@cific reasons, that would permit the City to ? =conclude;fhat.the` .-ar,elrade secrets. I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan ; that I understand this is not a p it, t I' ?t? g,Q'r a permit, and wo is not [o sta ' out a permit; that the work will he in accordance with the approved plan in the ??e`?irl?sal{I?,1?iew and approv of ans. V x?J,?,?; o d??eszbz; s TLPR j ? 7_OQ8 X- ApplicanYs Printed Name ApplicanYs Signature Page 1 of 3 ;. DO NOT WRITE BELOW THIS LINE. . sue nrPes ' ? Foundation ? 05-plex ? 16-plex ? Accessory Building ? Pool ? Single Family ? 06-plex ? Fireplace ? Porch (3-season) ? Ext. Alt. - Multi ? 01 of _ Plex ? 07-plex ? Garage ? Porch (4-season) ? Ext. Alt. - SF ? 02-Plex ? 08-plex ?4D Deck ? Porch (screenlgazebo/pergola) ? Multi Misc. ? 03-Plex ? 10-plex ? Lower Level ? Storm Damage ? 04-Plex ? 12-plex ? Miscellaneous WORK TYPES ? New ? Interior Improvement ? Siding ? Demolish Building' ? Addition ? Move Bu ilding ? Reroof ? Demolish Interior ? Alteration ? Fire Repair ? Windows ? Demolish Foundation 1Ti Replacement ? Egress Window ? Water Damage " Demolition (entire building) - give PCA handout to applicant DESCRIPTION: Valuation 2?00. - Occupancy MCES System Plan Review Code Edition Z045 "] SAC Units (25%_ 100% ? Zoning City Water Census Code Stories Booster Pump # of Units Square Feet PRV # of Buildings Length Fire Sprinklers Type of Const. wdth REQUIRED INSPECTIONS Footings (new bldg) Sheetrock _?o Footings (deck) Final/C.O. _ Footings (addition) ? FinaUNo C.O. Foundation HVAC Drain Tile Other: _ Roof: _Ice & Water _Final Pool: _Footings _AidGas Tests Final _ Framing Siding: _Stucco Lath _Stone Lath _ Brick Fireplace:_R.I. _AirTest _ Final Windows _ Insulation Retaining Wall _ Reviewed By: M , Building Inspector RESIDENTIAL FEES: Base Fee Surcharge Plan Review MC/ES SAC City SAC Utility Connection Charge S8W Permit & Surcharge Treatment Plant Copies O? ? Total Page 2 of 3 IR EV oEc Tai-?e;euiidera Inc. ?vo r Vn5'?,( / ? ???',•Z'G'? ?'J??'27 Or.1I201 183-70 iJAc Ks ON D SURYEYOR 0 ?'Q ,` Rfi615TERE0 l1NDER LAWS aR S7ATE OF MIN}tE.,OTA IJCENSED HY ORDINANCE OF CITY OF MINNP?.POL[8 3616 EAST 55TH STREET 55417 727-3484 - _ _ _ ? - urbepor'g QCettificate VACANT SCALE ? 1" = 30' 0 DENOTES IRON • DENOTES SPIKE oo?' F? GP?PG? 9? 6 P ? ? ?6- J . ? . J 3? J . 9? ? Z 000.0=Existing Elevationa Drainage and Utility Essement; Drainage Praposed garage floar Elev. 95,0 and Basesent Propased Firat Floor Elev. 103.85 I hereby certify that 6his is a true ar,d correct giat of a survey of: Lote 9,10,11 and 12,Block 1,Brier :dili 2ad. Addition,Dakota Caunty,Minneaota. AS SURYEYED BY ME THIS 5th. DAY OF NOY. i D 1980 .? ? 26-21-23 SIGNE ' ; F. C. JACKSON, MIHNesoTw' Istrtwnon. i' ( No. 3B00 r--------------- For Office Use I . 7 4 1 Permit C n 1 CflyofEaF j I Permit Fee: 3830 Pilot Knob Road Eagan MN 55122 I Date Rece' 2 4 2009 Phone: (651) 675-5675 I I Fax: (651) 675-5694 I Staff: 2008 RESIDENTIAL BUILDING PERMIT APPLICATION Date: /1 t -to o ( Site Address: O rr, g 1z r i c~ w , „<os t C S Tenant: 3,8 I ~ 40 (LL L e:-, Suite RESIDENT / OWNER Name: 1 0 As 50 e, 4-,-,, o ~J ~)e Phone: -7 4, 7 - Y S y- 3'7z 7 Address / City /Zip: P- C' ij e S S~ Applicant is: Owner X Contractor TYPE OF WORK Description of work: Q £ - v j t i'~, h f e ~ Construction Cost: Lf Multi-Family Building: (Yes X / No CONTRACTOR Name: f3 £ f £x7-4a/eR Z.,eG, License#: ZCXq// 3 i Address: d~c s~ L j. 6 of S: City: In PL S, State: M-. Zip: -S'S Iyl/ Phone: 9 & 6 2 Y3 Contact Person: 1)09 4° L 64u e 2 ~ S COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING Minnesota Rules 7670 Category 1 _ Minnesota Rules 7672 Energy Code • Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet Category Submitted Submitted submission type) • Energy Envelope Calculations Submitted In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan? -Yes No If yes, date and address of master plan: Licensed Plumber: Phone: Mechanical Contractor: Phone: Sewer & Water Contractor: Phone: NOTE: Plans and supporting documents that you submit are considered to be public information. Portions of the information may be classified as non-public if you provide specific reasons that would permit the City to conclude that the are trade secrets. I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan; that 1 understand this is not a permit, but only an application for a permit, and work-is not to sta out a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approv of ans. X ~6j X11 b 4,ZZy2f5 x Applicant's Printed Name Appl'icant's Signature Page 1 of 3 3b e - i DO NOT WRITE BELOW THIS LINE SUB TYPES ❑ Foundation ❑ 05-plex ❑ 16-plex ❑ Accessory Building ❑ Pool ❑ Single Family ❑ 06-plex ❑ Fireplace ❑ Porch (3-season) ❑ Ext. Alt. - Multi ❑ 01 of - Plex ❑ 07-plex ❑ Garage ❑ Porch (4-season) ❑ Ext. Alt. - SF ❑ 02-Plex ❑ 08-plex 11% Deck ❑ Porch (screen/gazebo/pergola) ❑ Multi Misc. ❑ 03-Plex ❑ 10-plex ❑ Lower Level ❑ Storm Damage ❑ 04-Plex ❑ 12-plex ❑ Miscellaneous WORK TYPES ❑ New ❑ Interior Improvement ❑ Siding ❑ Demolish Building' ❑ Addition ❑ Move Building ❑ Reroof ❑ Demolish Interior ❑ Alteration ❑ Fire Repair ❑ Windows ❑ Demolish Foundation Replacement ❑ Egress Window ❑ Water Damage * Demolition (entire building) - give PCA handout to applicant DESCRIPTION: , Valuation C7~''C Occupancy MCES System Plan Review Code Edition SAC Units (25% 100% Zoning City Water Census Code Stories Booster Pump # of Units Square Feet PRV # of Buildings Length Fire Sprinklers Type of Const. Width REQUIRED INSPECTIONS Footings (new bldg) Sheetrock x Footings (deck) Final/C.O. -t" Footings (addition) Final/No C.O. Foundation HVAC Drain Tile Other: Roof: -ice & Water -Final Pool: -Footings Air/Gas Tests -Final Framing Siding: -Stucco Lath -Stone Lath -Brick Fireplace:-R.I. -Air Test -Final Windows Insulation Retaining Wall Reviewed By: , Building Inspector - - - - - RESIDENTIAL FEES: Base Fee ~ ~C ✓~~~G 2 / ~ CJ J Surcharge IJ J Plan Review MC/ES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant Copies Total Page 2 of 3 REVIEWE ~To1.1efa -ildera I-nc. 183-70 A C For DAT*~- Na T1G1% D SURVEYOR C4, 35 BUKMW UM REGISTERED UNDER LAWS OF STATE OF INNESOTA LICENSED By ORDINANCE OF CITY OF M NNEAPOLIS f(~ 3616 EAST 55TH STREET 551117 , 727 - 3484 ~ a J (IV urhtpor'g Certificate ACANT 91 _ J g 9.17 r\.~ 2 I DPI - - _ 45 13.17 v CV 2L66 21.66 9.17 cv N V., .10 M Q 30 t B JILI ?\'F N 12,97 _ 44.Q0 44.00 30 2°23p BT R 10' OF SET : 60.00 1 C\j 2° N FOV~ ! g/ N 00 N cli 13.17 rv 9~ 3A 9.17 21.66 21.66 N 'r 13.17 11 9.171 I0'OFFSET 12 ~Z 9q ' 000.0 = Existing Elevations _ - - = Drainage and Utility Easements Drainage SCALE=I"=30' proposed garage floor Elev. 95.0 O DENOTES IRON and and Basement DENOTES SPIKE Proposed First Floor Elev. 103.85 P~PV~ 91 6 G P gP I hereby certify that t is is a true and correct plat of a survey of: Lots 9,10,11 and 12,Block 1,Brier :fill 2nd. Addition,Dakota County, Minnesota. AS SURYEY£D BY ME THIS 5t. DAY OF Nov. • D 1980 20-27-23 SIGNED i F. C. JACKSON. MINNESOTA' GISTRATION. No. 3600 PERMIT City of Eagan Permit Type: Plumbing 3830 Pilot Knob Rd Permit Number: EA084580 Eagan, MN 55122 . Date Issued: 07/23/2008 (651) 675-5675~~~ EPermit Category: ePermit www.ci.eagan.mn.us lflflUl tflflLLL Site Address: 3819 Laurel Ct Lot: 10 Block: 1 Addition: Briar Hill 2nd PID 10-14991-100-01 Use Description: Sub Type: e - Water Heater Work Type: Replace Description: Water Heater Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size Comments: Mike Skaja 2090 County Road 42 W. Burnsville, MN 55337 Fee Summary: PL - Permit Fee (WS &/or WH) $50.00 0801.4087 Surcharge-Fixed $0.50 9001.2195 Total: $50.50 Contractor: - Applicant - Owner: Tony's Appliance Claudia R Sterling 2090 County Road 42 West 3819 Laurel Ct Burnsville MN 55337 Eagan MN 55122 (952) 435-2442 I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Applicant/Permitee: Signature Issued By: Signature Use BLUE or BLACK Ink r---- • i. For Office Usej i MY Permit#: of Eap. I Permit 1-ee: 1 3830 Pilot Knob (toad Eagan MN 55122 [date Received: Phone: (661) 6756675 I I Fax: (651) 675.5684 I Staff: I 2013 RESIDENTIAL BUILDING PERMIT APPLICATION Date: 4-30 --43 Site Address:38i9, 38x1, 3F 3, 3SRS" ' 4,4 &Z C. C'T. Unit Name: fo ACT /V P4 tii 4 61 /14 Z A..) T Y~ C Phone: 7G+3 ~ s'~i 3 - 9y 70 btl or , Address City / zip: Aso tr G w "r--ti g At/ ,c3 /r1-AJ s3'vt 7 Applicant is: Owner Z_Contractor Typ$ It Description of work: T£A-Q Off" a- QE - P4)0,0= Cortsbttction cost Multi-Famiy Building: (Yes X' I No Company: VAE i 6-e-P Contact ~rAviVS,-' fZA r 5 Cor i Address: //o S to 6 D'h ~!7. City: M PL S State: /VAJ Zip: S rql 9 Phone: ~Opit ?6 i t!a.2 ~/3 . License # t'_ YI / 3 Lead Certificate If the project is exempt from lead Certification, please explain why: (see Page 3 for additional information) Qati&S L3r-,eC 14 'I't 7-, PDs.- 19 7 8, COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan? Yes _No If yes, date and address of master plan: Licensed Plumber: Phi: Mechanical Contractor. Phone: Sewer S Water Contractor. Phone: ; :~J.; X41: • waea r .•"$Y..i:. CALL BEFORE YOU DIG. Cad Gopher State One Call at (651) 4544002 for protection against underground ud* damage. Cad 48 hours before you intend to dig to receive locates of undeMramd utilities. www.oooher er,ecall.oro 1 hereby acknowledge that this inlormsfim is complete and amour* that the work will be in comVmance with the ordinances and codes of the of Eagan; that I understand this is not a permit, but only an application for a permit. and work is not to start without a permit; that the w City of wid be accordance wkh the approved pran in the case of work wMM nxlulm a review and approval of plans. Exterior work ar whad by a building permit Issued In accordance with the Minnesota State Buiidi; Code must be completed within 180 days of permit issuance. x b1lv,N Pav22rs Applicants Printed Name x Applicant's Signature Page 1 of 3 TREATED WOOD MAY REQUIRE SPECIAL. w AND i ..._. - , i- (, rte: _ s / 1j 1 L V � r -'. '] .i SUPPLIER FOR MORE INFORMATION. (Ai2iiR. NJLL 1.34"4"7ES tmoi /I PO TITEDY s i e'itiimJ I SPECIFIC I G• q0°1-1Cf WALKING DACES GREATER THEN 30" ABOVE AREA BELOW REQUIRE GUARDRAILS MINIMUM 36" IN HEIGHT AND DESIGNED SUCH THAT A 4" SPHERE WILL NOT PASS THROUGH A 1L~1 zxIO X?C�FRAirII�a y is vzt, b4t.P• grass_ r 1x11:: Ii4M -rgiL ictal:._ Co�JGR£.7 � Po • 1,4 /ZEyam' ILDING INSPECTIONS DIVISIO *at) of Eagall 3830 Pilot Knob Road Eagan MN 55122 Phone: (661) 675.5675 Fax: (651) 675-5694 Use BLUE or BLACK Ink For Office Use 1 /� Permit*: 1�� Permit Fee: Date Received: Staff: J 2013 RESIDENTIAL BUILDING PERMIT APPLICATION Date: - x4/- /'/ Site Address: 5019, 3 R2/, 39,1 3, 3 8„2.s- jAu2E L eY, Unit #: Resident Owner Name: ek 46 1 M4.3 46ErtE.�'1- .:.c:..; C, Phone: 763 - .S s3- 9770 Address / City / Zip: RSo n E C 1 "PV 2 Av, 41. ) A 6040E.. VSE r �� Applicant is: Owner Contractor Sr y1 7 Type'o�`:'.MVork Description of work: 1Z14-4-0-, r_ a- R E Pr. :1-c- I/ d, 6a F-41-/ c. / a Mf ,a' L _ Construction Cost / 4 V OZ) • Cru Multi -Family Building: (Yes / No ___^) • Contractor Company: {I EA &� r I 0 2 /y4i J T . ev RP. Contact b4 ✓" 0 a1122i S Address: 4/O3- 1-i3 &,b — 1. city: /17 PL S State: /'%^S Zip: . '// 9 Phone: to/ Z • ' % I- La 2 V 3 License #: 41 L 2V// 3 / Lead Certificate #: If the project is exempt from lead certification, please explain why: (see Page 3 for additional information) ill-NeD5- Q,4,-7-' Pos:- /7-7 In the last 12 months, Yes _No If COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING has the City of Eagan Issued a permit for a similar plan based on a master plan? yes. date and address of master plan: Licensed Plumber: Phone: Mechanical Contractor: Sewer & Water Contractor: Phone: Phone: NO.TE:' Pn� YRI.Y.. QI tinge,M.MMiIIetto jjh Me"rWi-� 4���i•P� ITyI�!'� you I9li �j�� ,,ice �y/��p.. .. 1 r.. yy���y�y��+�p� /,� keit '�� atforr.' its .. C./ 1 ,'hgy�pp r '.1 �:4� CALL BEFORE YOU DIG. can Gopher State Ono Cali at (651) 454-0002 for protection against underground utility damage. Call 48 hours before you Intend to dig to receive locates of underground utilities. www.aooherstateonoeall_orq I hereby acknowledge that this information Is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan: that I understand this Is not a permit, but only en application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans, Exterior work authorized by a building permit 'issued in accordance with the Minnesota State Bu11dlnLCode must be completed within 180 days of permit Issuance. x 4" 0 fi /2.14 Applicant's Printed Name 90/90 39Cd x. Applicants Signature 7 g Page 1 of 3 1NICW 1X3 I3g L9Z9T98ZT9 SS:TT VTOZ/UZ/80 Use BLUE or BLACK Ink For Office Use �,(�Permit#: I t( ✓-1 CitY of Eakan Permit Fee: /4"e"9 3830 Pilot Knob Road . a Eagan MN 55122 Date Received: Phone:(651)675-5675 RECEIVED �' + Fax:(651)675-5694 Staff: APR 302017 2017 RESIDENT' I BUILDING PERMIT APPLICATION Date: 0/42-11..260-Site Address: 0 1C/ N Unit#: Name: lf'c,r 4- (S -f .e- c ,xr�"c ta:0..Ya` Phone:q5).-S5-4 - (o 51 Resident/ I Owner Address/City/Zip: 315/1 Luwt I C f- /CcrS -, (' 5-‘37,„,1- 3 PI)Applicant is: Owner lC Contractor Description of work: Covtcre4-e,. 5X213 Agcs+es Type of Work Construction Costffi/c ua - a S1orS?t-..'l.';i7y Multi-Family Building:(Yes k 1 No ) Company: ---770 S GK,( ?4414.eN c Contact: Kyk --73-43(v)�t ow � 5 Address: I ir1r'� ktc4,t 1Jctne, (3L�c. City: T.ni-t - Cz'iteve.'t(e c'*kit'S Contractor y State:/tiWltl Zip:5',a}} Phone: ors-a-Si 5-in?. Email: k•onn.tn#t. 0"/NticEtG4trtenw.• sLicense#: G 1(D(�$ Lead Certificate#: If the project is exempt from lead certification, please explain why: N Ot- ..�..w.v.-n......«..-.„.........«...�.�........ -., .......,.w.w e.w.....m..—..v - ....a......,...... ....... .._... .. a-....-w.w....�...-._......_».,.�.m....«., ,v,,,e...............«.......,....., — COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING In the last 12 months,has the City of Eagan issued a permit for a similar plan based on a master plan? • _Yes No If yes,date and address of master plan: Licensed Plumber: Phone: Mechanical Contractor; Phone: Sewer&Water Contractor: Phone: Fire Suppression Contractor. Phone: NOTE:Plans and supporting documents that you submit are considered to be public information. Portions of the information maybe classified as non-public if you provide specific reasons that would permit the City to conclude that they are trade secrets. CALL BEFORE YOU DIG. Call Gopher State One Call at(651)454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.000herstateonecall.orq I hereby acknowledge that this information is complete and accurate:that the work will be in conformance with the ordinances and codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. Exterior work authorized by a building permit issued in accordance with the Minnesota State Building Code must be completed within 180 days of permit issuance. x 111 Applicaht's Printed Name Applijt Signature Page 1 of 3 DO� NOT WRITE BELOW THIS LINE t 4 /4139 1 c SUB TYPES 3Op1g 4-- 3gg 3 L C-e, j -` Fouridation Fireplace Porch (3-Season) Exterior Alteration(Single Family) Single Family Garage Porch (4-Season) Exterior Alteration (Multi) Multi Deck Porch (Screen/Gazebo/Pergola) Miscellaneous 01 of_Plex Lower Level Pool Accessory Building WORK TYPES New Interior Improvement Siding Demolish Building* Addition Move Building Reroof Demolish Interior Alteration Fire Repair Windows Demolish Foundation tic Replace _ Repair Egress Window Water Damage Retaining Wall *Demolition of entire building—give PCA handout to applicant DESCRIPTION Valuation dif 0 pvc,• '- Occupancy 1 oc-~3 MCES System Plan Review Code Edition ,1 2®/5 SAC Units (25% )0 100%_) Zoning ' P City Water Census Code Stories Booster Pump #of Units Square Feet PRV #of Buildings Length Fire Suppression Required Type of Construction V pj Width REQUIRED INSPECTIONS Footings (New Building) Meter Size: Footings (Deck) Final I C.O. Required Footings (Addition) O Final I No C.O. Required 70 Foundation Foundation Before Backfill HVAC Gas Service Test Gas Line Air Test Roof: _Ice &Water Final Pool: Footings _Air/Gas Tests _Final Framing 30 Minutes 1 Hour Drain Tile Fireplace:_Rough In Air Test Final Siding: Stucco Lath Stone Lath Brick_EFIS Insulation Windows Sheathing Retaining Wall: Footings_ Backfill—Final Sheetrock Radon Control Fire Walls Fire Suppression: Rough In_Final Braced Walls Erosion Control Shower Pan Other: Reviewed By: `l 0011 ft7 14.1114 , Building Inspector RESIDENTIAL FEES -y-% 01 t.)'D,e 5 -,R -b Pte; ( Base Fee Surcharge Plan Review MCES SAC City SAC /nht-Siert. 00/42i7 Fe J i e %--) I. Q 'E Utility Connection Charge /- nT .-t>a S&W Permit& Surcharge Treatment Plant /a - ,f; j Z S//b Copies TOTAL Page 2 of 3